HCS 224 Entire Course

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HCS 224 Entire Course
HCS 224 Entire Course
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HCS/224

Health Care Office Management

 

The Latest Version A+ Study Guide

 

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HCS 224 Entire Course Link

https://hwsell.com/category/hcs-224/

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HCS 224 Week 1 Office Operations Worksheet

Complete Parts A and B of the Office Operations Worksheet.

Click the Assignment Files tab to submit your assignment.

Part A:

Mark the best answer to each of the following questions:

 

  1. Smith calls the office to schedule an appointment with Dr. Johnson. How should you answer the phone?

  2. Doctor’s office. Can I help you?

  3. Hello, this is Shirley. How can I help you?

  4. Good morning! Dr. Johnson’s office. This is Shirley. How can I help you?

  5. Johnson’s office. How can I help you?

 

  1. Which of the following is not part of the closing procedures?

  2. Run account reports and balance day sheet.

  3. Turn the phones over to the answering service or voicemail.

  4. Turn off all office equipment.

  5. Follow-up with patient to ensure compliance with physician’s instructions.

 

  1. Which of the following is not part of the registration process?

  2. Identify the type of insurance.

  3. Schedule patient for follow-up visit.

  4. Verify insurance coverage.

  5. Collect copays.

 

  1. Jones walks into the clinic without an appointment and insists on being seen, but there are no openings. What do you do?

  2. Find out the reason she needs to see the doctor and ask a nurse to speak to her to determine if the doctor should be asked to see her.

  3. You simply tell her there are no available appointments and tell her she can schedule for another day.

  4. You tell her she can wait for 5 to 6 hours, and you will work her in.

  5. You tell her she can be seen if she pays an additional $50.00 for a walk-in service.

 

  1. Melissa presents to the front desk with her insurance card and you determine after checking eligibility that the card is not active. What do you do?

  2. Let her be seen anyway and tell her you will bill her later.

  3. You explain to her the insurance is not valid and tell her she will be self-pay for the date of service and explain the possible charges.

  4. You tell her she cannot be seen because she has no insurance.

  5. You tell her you will spend some time trying to find out who takes her insurance and let her know in a few days where she can go.

  6. Jenkins calls the office in a panic because her husband is having chest pain. You already have three other patients on hold. What do you do?

  7. Tell her you have three other people to tend to and ask her to hold.

  8. Tell her to call 911 and hang up.

  9. Transfer the call to nurse for immediate triage assistance.

  10. Take her number and tell her the nurse will call her back shortly.

 

  1. You have a waiting room full of patients and the doctor seems to be running an hour behind schedule. What do you do?

  2. Keep patients informed of the delay.

  3. Offer some of the non-urgent appointments the opportunity to reschedule.

  4. Try to avoid the patients so you do not have to explain anything to them.

  5. Both A and B are correct.

 

  1. Simpson missed his appointment for the day. What do you do?

  2. Send out a notification of the no-show or missed appointment.

  3. You place a note in his chart not to schedule him again because he no-showed once.

  4. Ask the doctor to discharge him from the practice.

  5. Send out a notification of the no-show or missed appointment and document it in the chart.

 

  1. Mary comes into the office with two insurance cards. One is through her employer and the other is her spouse’s. Which one is primary for Mary?

  2. Mary can determine which one she wants to use for the visit.

  3. The one with the lower copay is primary.

  4. Mary’s plan would be primary.

  5. Her spouse’s plan would be primary.

 

  1. You are confirming appointments for the next day. You call Mrs. Jone’s home, but her husband answers and she is not there. What do you do?

  2. Tell him she has an appointment for tomorrow to have her diabetes check-up.

  3. Ask him to have her call the office immediately.

  4. Refer to the HIPAA guidelines and see if there is a release to allow you to disclose information to her spouse, including appointment times.

  5. Tell him to remind her that she has an appointment tomorrow.

Part B:

Write a 90- to 175-word response to each of the following prompts. Format your answers according to APA guidelines and cite any sources accordingly.

 

  1. Explain the birthday rule.

 

  1. Who is considered the guarantor of an account?

 

  1. What are some ways practices can accommodate patients with disabilities?

 

  1. Explain the differences between licensed and non-licensed staff. Give two examples of each.

 

  1. Why is it important to capture accurate demographic data upon registration?

 

 

HCS 224 Week 1 Build Your Resume for Success

As you work through the completion of your coursework, it is important that you have a quality resume and cover letter to submit to potential employers. This assignment along with the cover letter assignment in Week Two are designed to give you the tools and the confidence to build and submit quality resumes and cover letters.

Navigate to the Phoenix Career GuidanceTM Dashboard.

In the “Build your Resume” section, click “Go to the Resume Builder” at the bottom of the page.

Complete your resume by following the prompts provided in the builder.

After you have completed your resume, click “Publish” and then select “Export (PDF or DOC)” to save a copy to your computer.

Click the Assignment Files tab to submit your assignment.

HCS 224 Week 2 Write a Great Cover Letter

Navigate to the Phoenix Career GuidanceTM Dashboard.

Review the Write a Great Cover Letter section.

Compose a cover letter using Microsoft® Word.

Click the Assignment Files tab to submit your assignment.

 

 

HCS 224 Week 2 EHR Technology Worksheet

Resource: EHR Technology Worksheet

Complete Parts A and B of the EHR Technology Worksheet.

Click the Assignment Files tab to submit your assignment.

Part A: Contact three local medical offices and inquire about the type of electronic health record (EHR) software used in their facility. Identify the following for each medical office:

 

  1. Which EHR software is used?

 

  1. How long has the office been using it?

 

  1. What are the pros of the software?

 

  1. What are the cons of the software?

 

Part B: Write a 260- to 350-word response to each of the following prompts. Format your answers according to APA guidelines and cite any sources accordingly.

 

  1. Explain what it means for an EHR to be certified.

 

  1. What is meaningful use?

 

  1. What is a patient portal?

 

 

HCS 224 Week 3 Office Procedures Worksheet

Resource: Office Procedures Worksheet

Complete Parts A and B of the Office Procedures Worksheet.

Click the Assignment Files tab to submit your assignment.

Part A: Match the appropriate term to its definition.

 

1._____    Notice of Privacy

Practices

A.When a physician decides that a patient needs to see a specialist.
2._____    Personal Demographics

 

B.Medical charts on patients who have died, moved, or discharged from the practice.
3._____    Referral

 

C.Medical files for patients currently receiving treatment.
4._____    Assignment of Benefits

 

D.Patient’s permission.
5._____    Consent

 

E.Form that asks patients to list any illnesses or surgeries they have had and family history of illnesses.
6._____    Urgent Referral

 

F.A document that describes items purchased or services rendered and shows the amount due.
7_____    Active Files

 

G.Check voice mail, answering service, and patient portal for messages.
8._____    Purging

 

H.This information includes basic facts about a patient’s name, address, and phone number.
9._____    Closed Files

 

I.The time during which benefits are payable under a given insurance plan.
10._____    Implied Consent

 

J.Document informing a patient of when and how their PHI can be used.
11._____    Health History Form

 

K.Document that describes the kind of treatment a patient wants in the event that they cannot speak for themselves.
12._____    Living Will

 

L.A patient presents for treatment, such as extending arm to have blood pressure taken.
13._____    Informed Consent

 

M.Must be explained by a provider prior to having a medical procedure to ensure the patient understands all of the risks.
14. _____    Verify Eligibility

 

N.Not life threatening, but the situation requires care from a specialist quickly.

 

15. _____    Copayment

 

O.Form provided to a patient if the provider believes the service will not be covered by Medicare.
16. _____    Opening Procedure

 

P.Formal approval from the insurance company that it will cover the test or procedure.
17._____     ABNQ.Authorizes health insurance benefits to be sent directly to providers.
18._____     Benefit PeriodR.Process of moving a file from active to inactive status.
19._____     InvoiceS.A fixed fee for a service.
20._____     PreauthorizationT.When insurance is checked to determine benefits and active status.

 

Part B: Write a 90- to 175-word response to each of the following prompts. Format your answers according to APA guidelines and cite any sources accordingly.

 

Explain the use of a CPT code.

Explain the use of the ICD-10-CM system in the billing process.

Explain the difference between copay and coinsurance.

List and explain the four mail classes.

What is the difference between an advanced directive and a living will?

 

 

HCS 224 Week 3 Scheduling and Office Logistics Worksheet

Resource: Scheduling and Office Logistics Worksheet and the Scheduling Matrix and Physician Schedule Spreadsheet

Complete Parts A, B, and C of the Scheduling and Logistics Worksheet.

Click the Assignment Files tab to submit your assignment.

 

Part A: Match the appropriate scheduling term to its definition.

1._____    Wave BookingA.Booking together a number of patients who have specific needs at the same time of the day.
2._____    Modified Wave Booking

 

B.Also referred to as tidal wave scheduling; patients come in intermittently and are seen in the order they arrive.
3._____    Double Booking

 

C.Two patients are scheduled at the same time.
4._____    Stream/Time-Specified

scheduling

 

D.A grid with time slots blocked out when physicians are unavailable.
5._____    Open Booking

 

E.Patients are scheduled at the same time each hour to create short-term flexibility each hour.
6._____    Cluster Booking

 

F.Patients are scheduled for specific time intervals that are dependent on type of visit.
7_____    MatrixG.Scheduling two patients at one interval and one the next interval. Pattern is continued throughout the day.
8._____    TemplateH.A document with a preset format used as a starting point so it does not have to be recreated each time.

 

Part B: Open and review the Scheduling Matrix and Physician Schedule Microsoft® Excel® spreadsheet. You will find the Scheduling Matrix located in the first sheet and the Physician Schedule located in the second sheet.

 

Answer the following questions:

 

Dr. Johnson’s first patient for the day is Mary Chambers for a diabetes appointment. Is this scheduled according to the spreadsheet provided? If not, please explain the problem.

 

Mrs. Jones wants to schedule an ADHD appointment with Dr. Day. Is there an appointment available, or would you need to look at another day for this type of visit?

 

A patient calls with an upper respiratory infection and wants to see Dr. Carroll. What times are available?

 

You are reviewing the schedule and notice that Dr. Day has a nutritional consult scheduled for 11:40 a.m. You want to ensure the patient is seen by a doctor for this service. Is there a doctor who sees nutritional consults? Is there a time available for this day?

 

A new patient calls and wants to see Dr. Carroll. Is there an appointment available for a new patient on this day with Dr. Carroll?

 

Conner Brand is scheduled at 10:40 a.m. for a hypertension check. Is this scheduled appropriately? Why or why not?

 

A patient calls and wants to schedule a meet and greet with any one of the providers on this day. Is there an appointment available? Why or why not?

 

A patient wants to schedule a well check with Dr. Day on this day. Is there an appointment available? Why or why not?

 

Dr. Smith’s patient calls complaining of abdominal pain. What do you do?

 

Allen Hart is scheduled to see Dr. Carroll for an ADHD visit. Is this scheduled appropriately? Why or why not?

 

Part C: Match the appropriate office logistics term (regarding mail) to its definition.

1._____     Insured MailA.First-class mail that also gives the mail added protection by offering insurance, tracking, and return receipt options.
2._____     Certified Mail

 

B.A list of items in a package.
3._____     Standard Mail

 

C.Sealed or unsealed, typed or handwritten material, including letters, postcards, and business reply.
4._____     Priority MailD.FedEx, United Parcel Service
5._____     First-Class Mail

 

E.Mail of all classes protected by registering and requesting evidence of delivery.
6._____     Registered Mail

 

F.Mail that has insurance coverage against loss or damage.
7_____     Packing SlipG.First-class mail weighing more than 13 ounces.
8._____     Private CarrierH.Mail that includes advertising, promotional directory, editorial material, or any combination of material.

 

 

HCS 224 Week 4 Signature Assignment: Case 1: Office Policies and Procedures

Health care requires adaptability to change. If you are going to work in the field, you will need to be a change leader. How can you influence change? You can take an active role within your position and assist with process improvement.

In this scenario, Dr. Fellows is a family practitioner and has been practicing within his community for the past 5 years. He has noticed that there are several issues within his office that need some attention. The revenue has been slow to come in and his patient population has begun to decline. He has limited his participation with insurance companies because he has been successful with treating patients without insurance. However, since the implementation of the Affordable Care Act in 2010, which requires everyone to have a health plan, patients are turning to the Marketplace health insurance plans and are no longer able  to see him. He wants to revamp his practice and make the changes needed to ensure his future success, but he is not sure where to begin. He has decided to hire a project team to redesign his office by improving processes and procedures, and learning more about areas like compliance, billing and coding, and patient needs.

Imagine you are a member of this project management team and you have been tasked with conducting the initial assessment of the practice. After your assessment is completed, you will present your recommendations to Dr. Fellows.

Create a 9- to 12-slide Microsoft® PowerPoint® presentation with detailed speaker notes. Your initial presentation must include the following:

  • Describe daily processes of a successful health care office.

    • Describe the importance of the revenue cycle to the health care office.

    • Describe insurance processing.

    • Describe the use of tracking and trending for a health care office.

    • Identify office procedures.

      • Identify electronic systems and processes used in health care offices.

      • Explain the use of coding.

Cite 2 peer-reviewed, scholarly, or similar references to support your presentation. Cite any graphics from other sources used in your slides.

Format your presentation according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

 

HCS 224 Week 5 Compliance and Patient Education Worksheet

Resource: Compliance and Patient Education Worksheet

Complete Parts A, B, and C of the Compliance and Patient Education Worksheet.

Click the Assignment Files tab to submit your assignment.

Part A: Read the following statements and identify whether the statement is true or false.

 

__________1.The HIPAA law enables patients to make informed decisions about their protected health information.
__________2.Paper charts do not need to be locked up when the facility is closed for the day.
__________3.An exposure control plan is optional.
__________4.OSHA’s Form 300 is used to document on-the-job injuries, illnesses, and deaths.
__________5.HIPAA stands for Health Information Physician Accountability Association.
__________6.Under the Patient’s Bill of Rights, patients cannot see a provider of their choice.
__________7.An informed consent form must be presented by a provider who explains risks involved in an upcoming procedure.
__________8.Medical offices cannot use sign-in sheets under the HIPAA law.
__________9.The OSHA 301 form used to report a work-related injury must be completed within 30 days of the incident.
__________10.A firewall blocks unauthorized access while allowing outward communication.
__________11.HIPAA requires all providers to have a National Provider Identifier.
__________12.When implementing an evacuation plan, those in the nearest danger should be evacuated last.
__________13.Providers should never unbundle codes when coding a visit.
__________14.HIPDB stands for Healthcare Integrity and Protection Data Bank.
__________15.The Health Care Fraud and Abuse Program is not responsible for conducting audits, investigations, or inspections of fraud.

 

Part B: Identify the eight points in the Patient’s Bill of Rights.

Part C: Write 350- to 525-word explanation about why the Patient’s Bill of Rights was created, its purpose, and who was responsible for creating these rights.

 

 

HCS 224 Week 5 Signature Assignment: Case 2: Regulatory Compliance

Now that you have completed the policies, processes, and procedures for Dr. Fellows, it’s time to consider staffing, compliance, and legal issues. Through the analyzing stage of the project, you found that Dr. Fellows did not have adequate staff, and it was unclear if any staff were certified, with the exception of the lead RN. You also discovered that most of the staff are unfamiliar with modern medical EMR/EHR technologies. Additionally, office staff have not been using the proper consent to treat forms, release of information forms and OSHA standards were not being followed. You want Dr. Fellows and his staff to understand how running a clinic is a service industry and how important state and federal regulatory compliance along with customer satisfaction and delivering quality care is to the future success of the practice.

You have proposed the following staffing levels for the clinic:

  • Licensed staff:

    • 1 RN

    • 3 certified medical assistants

    • 4 certified medical administrative office assistants

    • Nurse practitioner or physician’s assistant

    • Non-licensed staff:

      • 1 office manager

You have now been tasked with presenting your staffing proposal to Dr. Fellows.

Create a 9- to 12-slide Microsoft® PowerPoint® presentation with detailed speaker notes in which you discuss the following:

  • Describe the importance of health care as a service business.

  • Describe the challenges caused by advances in technology.

  • Identify the effects of regulations on the health care office.

    • Compare licensing requirements for health care workers using the staffing proposal mentioned above.

    • Explain the importance of monitoring compliance in the health care office.

Cite 2 peer-reviewed, scholarly, or similar references to support your presentation. Cite any graphics from other sources used in your slides.

Format your presentation according to APA guidelines.

Click the Assignment Files tab to submit your assignment.